APPENDIX 5A — Neurological Examination
5A-1
A P P E N D I X 5 A
Neurological Examination
5A-1
INTRODUCTION
This appendix provides guidance on evaluating diving accidents prior to treat-
ment. Figure 5A-1a is a guide aimed at non-medical personnel for recording
essential details and conducting a neurological examination. Copies of this form
should be readily available. While its use is not mandatory, it provides a useful aid
for gathering information.
5A-2
INITIAL ASSESSMENT OF DIVING INJURIES
When using the form in Figure 5A-1a, the initial assessment must gather the
necessary information for proper evaluation of the accident.
When a diver reports with a medical complaint, a history of the case shall be
compiled. This history should include facts ranging from the dive profile to
progression of the medical problem. If available, review the diver’s Health Record
and completed Diving Chart or Diving Log to aid in the examination. A few key
questions can help determine a preliminary diagnosis and any immediate treat-
ment needed. If the preliminary diagnosis shows the need for immediate
recompression, proceed with recompression. Complete the examination when the
patient stabilizes at treatment depth. Typical questions should include the
following:
1.
What is the problem/symptom? If the only symptom is pain:
a.
Describe the pain:
Sharp
Dull
Throbbing
b. Is the pain localized, or hard to pinpoint?
2.
Has the patient made a dive recently?
3.
What was the dive profile?
a.
What was the depth of the dive?
b. What was the bottom time?
c.
What dive rig was used?
d. What type of work was performed?
e.
Did anything unusual occur during the dive?
